University Food Policy Exception Form - Lawrence Campus

Responsible Party Information

Responsible Party Name

Responsible Party Unit/Organization

Responsible Party Email

Responsible Party Phone

- -

Event Details

Date of Event

Purpose of Event

Location of Event

Reservation ID

Other Location

Expected Attendance

Serve Start Time

Serve End Time

Type of Food to be Served

Beverage(s) to be Served

This request is for nonalcoholic beverages. Beverages must be a part of the Pepsi Family. If the item you wish to server is not offered by Pepsi, please list the name of the product. Any alcohol request need to be processed though the Alcohol Service Request Form.

Licensed Vendor Information

Licensed Vendor

Address

City

State

Zip Code

Vendor Phone

- -

Rationale for Exception to the University Food Policy *

Rationale for Exception

Requirements & Responsibilities *

Person responsible for enforcing these requirements:

Ensures compliance with all stipulations governing the exception.
Ensures that no alcoholic beverages are served.
Accepts all liability.

The Sponsoring Organization agrees that it shall be responsible for any claims of injury or damage arising out of the service of food at its event. The Sponsoring Organization further agrees to indemnify and hold harmless the University of Kansas, the KU Memorial Unions, Kansas Athletics, Inc., and their employees and agents from any claims arising out of the service of food at the event.

Requirements & Responsibilities

I have read and agree with the above.

Policy

I, as the representative of the sponsoring organization requesting the exception to the University Food Policy, have read and understand the KU Memorial Unions guidelines listed above and agree to the terms set forth.